Healthcare Provider Details

I. General information

NPI: 1225317357
Provider Name (Legal Business Name): CHRISTINA DAUER MPH, R.D., LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2011
Last Update Date: 05/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 NW SPANISH RIVER BLVD
BOCA RATON FL
33431-4612
US

IV. Provider business mailing address

1004 MONDAVI PL
APEX NC
27502-7123
US

V. Phone/Fax

Practice location:
  • Phone: 561-235-4570
  • Fax:
Mailing address:
  • Phone: 561-235-4570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003672
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND6066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: